Individual
NICHOLE BAGGOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6700 NE GARFIELD AVE, PORTLAND, OR 97211-3083
(503) 341-3230
Mailing address
1130 SE MORRISON ST APT 520, PORTLAND, OR 97214-2599
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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